Provider Demographics
NPI:1083608277
Name:IMAGING ASSOCIATES PA
Entity Type:Organization
Organization Name:IMAGING ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTACT MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GASIOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-873-9889
Mailing Address - Street 1:1455 BROAD ST
Mailing Address - Street 2:IMAGING ASSOCIATES PA 4TH FLOOR
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003
Mailing Address - Country:US
Mailing Address - Phone:973-873-9889
Mailing Address - Fax:973-707-1127
Practice Address - Street 1:2770 MORRIS AVE
Practice Address - Street 2:OPEN MRI OF UNION
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083
Practice Address - Country:US
Practice Address - Phone:908-686-2450
Practice Address - Fax:908-686-5085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8394806Medicaid
NJ087982Medicare ID - Type Unspecified